Individual
DAVID A SEIDL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1020 MCINTOSH CIR STE 203, JOPLIN, MO 64804-3689
(417) 781-7110
(417) 781-8117
Mailing address
PO BOX 3810, JOPLIN, MO 64803
(417) 781-7110
(417) 781-8117
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
114653
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100011620
RR MEDICARE
—
05
—
100176490A
—
OK
05
—
100315010A
—
KS
01
—
114173
ANTHEM
MO
05
—
209799402
—
MO
Enumeration date
06/20/2006
Last updated
10/30/2019
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